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NPI Code Detail

MEDICARE: LATRONJA SOCKWELL

MEDICARE: LATRONJA SOCKWELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1578496204
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATRONJA SOCKWELL
Provider Business Mailing Address
First Line : 3 CENTRAL PLZ # 93
Second Line :
City : ROME
State : GA
Zip : 30161-3230
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3 CENTRAL PLZ # 93
Second Line :
City : ROME
State : GA
Zip : 30161-3230
Country : US
Telephone Number : 770-676-2110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ LATRONJA SOCKWELL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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